Shanea Nicole Hines, DNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN21214 Issued in TN

Practice address

705 Medical Park Dr
Humboldt, TN 38343-3034

Phone

(731) 784-2442

Fax

(731) 784-1000

NPI assigned

Mar 26, 2016

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medina Family Medical Clinic, PCGroup PAC ID 9931161726, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medina Family Medical Clinic PC

  • Rural Health Clinic/Center
  • Medina, TN
  • NPI 1609881150
  Medicare reassignment Care Compare group NPD
• Christ Community Health Services Inc

  dba Christ Community Health SVCS Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1982686614
  Medicare reassignment NPD
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, TN
  • NPI 1871299297
  NPD
• Christ Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, TN
  • NPI 1750926549
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1639531841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BIRCH HOLLOW LN",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051886",
            "telephone_number": "731-444-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MEDICAL PARK DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433034",
            "telephone_number": "731-784-2442",
            "fax_number": "731-784-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176C W University Pkwy # C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051616",
            "country_code": "US",
            "telephone_number": "731-660-6915",
            "fax_number": "731-668-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15001 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "383585132",
            "country_code": "US",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 US Highway 45 W",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383438503",
            "country_code": "US",
            "telephone_number": "731-784-7773",
            "fax_number": "731-784-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "SHANEA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000167452",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN21214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "10350I0789",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christin Gray, NP
• Harris-Lee Speech Services
• Jennifer M Harris, M.S.,CCC-SLP
• Debra Renae Henley, R.N.
• Edmon Jonh Moreno Hilario
• Natalie Hollis
• Heather Ann Hope, O.D.
• Humble Hearts & Hands
• Humboldt Area Rescue Squad/EMS
• Humboldt Family Walk-in Clinic LLC

• Family Nurse Practitioner in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.